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Organization
BERTRAN COUNSELING LLC
Active
Organization
BERTRAN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BERTRAN LCSW-C (THERAPIST)
(301) 966-2268
Entity
Organization
Contact information
Practice address
4405 E WEST HWY STE 408, BETHESDA, MD 20814-4535
(301) 966-2268
Mailing address
3114 BENTON SQUARE DR, OLNEY, MD 20832-2539
(301) 966-2268
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904011644
LCSW LICENSE #
VA
01
—
19265
LCSW-C LICENSE #
MD
Enumeration date
02/11/2022
Last updated
02/11/2022
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